| NPI | 1750769881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MIRELL Licensed Clinical Social Worker 718-510-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077828) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |